Interrupted sutures at the hinge site to manage a free flap during laser in situ keratomileusis

Two patients developed free flaps intraoperatively during laser in situ keratomileusis. After excimer laser treatment was performed, the free flap was replaced, maintaining proper alignment. Interrupted sutures were placed superiorly at the intended hinge site to secure the free flap. The uncorrected visual acuity was 20/30 in the affected eyes of both patients after treatment. At the 6-month follow-up, there were no flap-related complications and there was no loss of best corrected visual acuity.